摘要
目的:探讨延续性护理对慢性乙型肝炎及肝硬化患者服用核苷(酸)类药物的效果。方法:选择2019年5月—2021年5月在该院治疗的80例慢性乙型肝炎及肝硬化患者,随机分为研究组和对照组,各40例。对照组采用常规护理,研究组在对照组基础上采用延续性护理,比较两组患者服用核苷类药物情况、复诊情况、再次入院率、护理满意度。结果:出院后1个月,两组依从性总分、依从性得分、药物管理能力得分比较,差异无统计学意义(P>0.05)。出院后3个月,研究组药物管理能力得分高于对照组(P<0.05),而两组依从性总分、依从性得分比较,差异无统计学意义(P>0.05)。出院后6、9、12个月,研究组依从性总分、依从性得分、药物管理能力得分高于对照组(P<0.05)。两组出院后1、12个月复诊情况比较,差异无统计学意义(P>0.05);出院后3、6、9个月,研究组复诊情况优于对照组,差异有统计学意义(P<0.05)。研究组出院后1年内再次入院例数少于对照组,差异有统计学意义(P<0.05)。研究组护理满意度为97.50%,高于对照组的77.50%,差异有统计学意义(P<0.05)。结论:延续性护理可提高慢性乙型肝炎及肝硬化患者患者服药依从性及复诊率,减少再次入院率,且患者满意度高。
Objective:To explore the effect of continuous nursing on patients with chronic hepatitis B and liver cirrhosis taking nucleoside(acid)drugs.Methods:A total of 80 patients with chronic hepatitis B and cirrhosis treated in our hospital from May 2019 to May 2021.The grouping method of patients uses the randomization method,dividing them into a study group of 40 patients and a control group of 40 patients.Routine nursing was used in the control group,and the study group was given continuous nursing on the basis of the control group.The situation of nucleoside drugs taking,referral,readmission rate and nursing satisfaction were compared between the two groups.Results:One month after discharge,there was no significant difference in the total score of compliance,compliance score and drug management ability score between the two groups(P>0.05).Three months after discharge,the score of drug management ability in the study group was higher than that in the control group(P<0.05),while There was no significant difference in the total score and compliance score between the two groups(P>0.05).At 6,9 and 12 months after discharge,the total score of compliance,compliance score and drug management ability in the study group were higher than those in the control group(P<0.05).There was no significant difference between the two groups in the reexamination at 1 and 12 months after discharge(P>0.05).The patient was presented 3,6,and 9 months after discharge,in terms of the return visit of the study group,it is better than that of the control group,and the difference was statistically significant(P<0.05).The number of re-admissions in the study group within 1year after discharge was less than that in the control group,and the difference was statistically significant(P<0.05).The care satisfaction rate in the study group was 97.50%,the satisfaction with care in the control group was 77.50%,in terms of care satisfaction in both groups,the study group was relatively high,and the difference was statistically significant(P<0.05).Conclusion:Continuous nursing can improve the medication compliance and referral rate of patients with chronic hepatitis B and cirrhosis,reduce the admission rate,and have high patient satisfaction.
作者
李汝珂
赵巍峰
LI Ruke;ZHAO Weifeng(Department of Infectious Diseases,Third Affiliated Hospital of Xinxiang Medical College,Xinxiang 453000,Henan,China)
出处
《中国药物滥用防治杂志》
CAS
2022年第6期805-808,816,共5页
Chinese Journal of Drug Abuse Prevention and Treatment
关键词
延续性护理
慢性乙型肝炎
肝硬化
核苷(酸)
护理满意度
Continuous nursing
Chronic hepatitis B
Liver cirrhosis
Nucleoside(acid)
Nursing satisfactory degree